Journal of critical care
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Journal of critical care · Jun 2019
Multicenter StudyUsefulness of a quantitative analysis of the cerebrospinal fluid volume proportion in brain computed tomography for predicting neurological prognosis in cardiac arrest survivors who undergo target temperature management.
Brain swelling post-cardiac arrest may affect cerebrospinal fluid volume. We aimed to investigate the prognostic performance of the proportion of cerebrospinal fluid volume (pCSFV) using brain computed tomography (CT) in cardiac arrest survivors. ⋯ pCSFV was independently associated with neurological outcome 6 months following cardiac arrest, however prognostic performance was not good.
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Journal of critical care · Jun 2019
A decision-aid tool for ICU admission triage is associated with a reduction in potentially inappropriate intensive care unit admissions.
Intensive care unit (ICU) admission triage occurs frequently and often involves highly subjective decisions that may lead to potentially inappropriate ICU admissions. In this study, we evaluated the effect of implementing a decision-aid tool for ICU triage on ICU admission decisions. ⋯ Implementation of a decision-aid tool for ICU triage was associated with a reduction in potentially inappropriate ICU admissions.
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Journal of critical care · Jun 2019
Admission characteristics predictive of in-hospital death from hospital-acquired sepsis: A comparison to community-acquired sepsis.
Healthcare associated (HA) sepsis is associated with increased resource utilization and mortality compared with community acquired (CA) sepsis. The purpose of this study was to identify independent predictors of in-hospital mortality from HA-sepsis. ⋯ Liver disease and CHF were independent predictors of in-hospital mortality in HA-sepsis. HA-sepsis patients had increased prevalence of previous stroke, myocardial infarction, and liver disease.
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Journal of critical care · Jun 2019
Observational StudyDepression and anxiety in relatives of out-of-hospital cardiac arrest patients: Results of a prospective observational study.
Relatives of patients admitted to the intensive care unit (ICU) with out-of-hospital cardiac arrest (OHCA) may suffer from adverse psychological outcomes. We assessed prevalence and risk factors for depression and anxiety in such relatives 90 days after ICU admission. ⋯ Many relatives of OHCA patients report symptoms of depression and anxiety after 90 days. Improving initial care and communication may help to reduce these risks.